Irvin, Stephen B

Irvin, Stephen B is an individual health care provider with primary practice located at 199 Hospital Dr Suite 7, Galax VA 24333-2454. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Irvin, Stephen B can be contacted via phone (276) 236-5181.

Contact Information

Primary practice address
199 Hospital Dr Suite 7 Galax VA 24333-2454
Phone: (276) 236-5181
Fax: (276) 236-3297
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101-019282 Virginia

Profile Details

NPI number 1417932732
LBN Legal business name Irvin, Stephen B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Nov 9th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417932732 NPPES
Virginia MEDICAID 005623324
Virginia MEDICAID 010027080
Virginia MEDICAID 005634504

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